{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:31:59Z","timestamp":1787758319518,"version":"build-2784847793"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Local excision of large rectal polyps can be an alternative for radical rectal resection with total mesorectal excision. We aim to report the functional and oncological outcomes of transanal endoscopic microsurgery (TEM) for patients with large rectal polyps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All demographic and clinical data of patients who underwent TEM for rectal polyp of 5 cm or more at the Hasharon Hospital from 2005 to 2018 were retrospectively reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-eight patients were included. The mean age was 66 years. The mean polyp size was 6.2 cm (range: 5\u20138.5 cm) with a mean distance of 8.3 cm from the anal verge. Peritoneal entry during TEM was observed in five patients and additional laparoscopy after the completion of the TEM was performed in four patients. There were no major perioperative complications. Seven patients had minor complications. Final pathology revealed T1 carcinoma in five patients and T2 carcinoma in three patients. Re-TEM was performed in one patient with involved margins with adenoma. After a median follow-up of 64 months, one patient had local recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>TEM is an acceptable technique for the treatment of large polyps with minor complications and a reasonable recurrence rate. TEM may be considered regardless of the size of the rectal polyp.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_147_22","type":"journal-article","created":{"date-parts":[[2022,9,12]],"date-time":"2022-09-12T10:11:15Z","timestamp":1662977475000},"page":"282-287","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["The outcome of local excision of large rectal polyps by transanal endoscopic microsurgery"],"prefix":"10.4103","volume":"19","author":[{"given":"Tali","family":"Shaltiel","sequence":"first","affiliation":[{"name":"Department of Surgery, Rabin Medical Center, Hasharon Hospital, Petah Tikva, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Gingold-Belfer","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"Kirshtein","sequence":"additional","affiliation":[{"name":"Department of Surgery, Rabin Medical Center, Hasharon Hospital, Petah Tikva, Israel"},{"name":"Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidal","family":"Issa","sequence":"additional","affiliation":[{"name":"Department of Surgery, Rabin Medical Center, Hasharon Hospital, Petah Tikva, Israel"},{"name":"Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,9,12]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"87","DOI":"10.3322\/caac.21262","article-title":"Global cancer statistics,","volume":"65","author":"Torre","year":"2012","journal-title":"CA Cancer J Clin"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/S0140-6736(78)90487-7","article-title":"Aetiology of adenoma-carcinoma sequence in large bowel","volume":"1","author":"Hill","year":"1978","journal-title":"Lancet"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1046\/j.1365-2168.2002.02120.x","article-title":"The colorectal adenoma-carcinoma sequence","volume":"89","author":"Leslie","year":"2002","journal-title":"Br J Surg"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1007\/s11605-013-2381-4","article-title":"High 1-year complication rate after anterior resection for rectal cancer","volume":"18","author":"Snijders","year":"2014","journal-title":"J Gastrointest Surg"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1097\/DCR.0000000000000116","article-title":"Low anterior resection syndrome and quality of life:An international multicenter study","volume":"57","author":"Juul","year":"2014","journal-title":"Dis Colon Rectum"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1007\/s10350-008-9337-x","article-title":"Transanal endoscopic microsurgery is more effective than traditional transanal excision for resection of rectal masses","volume":"51","author":"Moore","year":"2008","journal-title":"Dis Colon Rectum"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"e191","DOI":"10.1111\/j.1463-1318.2011.02863.x","article-title":"Endoscopic mucosal resection versus transanal endoscopic microsurgery for the treatment of large rectal adenomas","volume":"14","author":"Barendse","year":"2012","journal-title":"Colorectal Dis"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1007\/s00464-013-3238-3","article-title":"Systematic review and meta-analysis of endoscopic submucosal dissection versus transanal endoscopic microsurgery for large noninvasive rectal lesions","volume":"28","author":"Arezzo","year":"2014","journal-title":"Surg Endosc"},{"key":"R9-20240828","first-page":"645","article-title":"Single centre study:Results of transanal endoscopic microsurgery of rectal tumors since 2003 versus","volume":"140","author":"Hitzler","year":"2015","journal-title":"Results of endoscopic submucosal dissection reported in the literature. 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